Active NPI
Julia K Sickles, L.C.S.W.
- Clinical Social Worker
- Riverton, UT
National Provider Identifier
1437335528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9452890-3501
- Practice address
- 3409 W 12600 S Ste 110
Riverton, UT 84065-7270 - Phone
- (435) 248-2325
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086529 | MI | |
| Clinical Social Worker | 1041C0700X | CSW 004624 | GA | |
| Clinical Social Worker | 1041C0700X | 9452890-3501 | UT | Primary |
Addresses
Primary practice location
3409 W 12600 S Ste 110
Riverton, UT 84065-7270
Mailing address
3409 W 12600 S Ste 110
Riverton, UT 84065-7270
Phone (269) 932-5330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW 004624 | GA | MD | Clinical Social Worker |
| 6801086529 | MI | MD | Clinical Social Worker |
| 9452890-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba LDS Family Services Georgia Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucker, GA
- NPI 1295953693
-
- Community/Behavioral Health Agency
- Thompsons Station, TN
- NPI 1437326154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1437335528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 W 12600 S STE 110",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657270",
"telephone_number": "269-932-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 W 12600 S STE 110",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657270",
"telephone_number": "435-248-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKLES",
"first_name": "JULIA",
"middle_name": "K",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086529",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW 004624",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9452890-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.